HESI 1 and 2 Remediation Practice Test

These questions are part of the practice quiz. Start practicing

• A poorly localized pain described as squeezing and pressure, when caused by inflammation, is what type of pain?
• Which information should be included when reporting an ED admission to the nursing unit?
• A patient is given 2,000 mL of IV fluids in 24 hours. The intake is 1,800 mL and the output is 1,450 mL. What is the net intake?
• A solution with pH 7 is neutral. Which option reflects this?
• A client is experiencing cancer-related fatigue. Which recommendations should the PN advise to help alleviate the symptoms?
• A medication must be infused at 75 mL/hour. How many mL will be delivered in 8 hours?
• A mother asks for guidance on how to talk with her children about death and dying after learning her husband has approximately six months to live. Which approach is appropriate for the PN to take?
• Which lab value may indicate a state of malnutrition?
• Identify the error: "She don't have any pain."
• Which task would be appropriate for delegation to an unlicensed assistive personnel (UAP) by the practical nurse (PN)?
• The functional unit of the kidney is the nephron. What are the two main components of a nephron?
• During wound irrigation, which practice could delay wound healing?
• The practical nurse (PN) is irrigating a client's wound. Which factor could delay wound healing as a result of wound irrigation?
• A client’s 24-hour fluid balance calculation includes 895 mL IV fluid, 150 mL antibiotic IV, 16 ounces of water, two 4-ounce containers of gelatin, and one cup of creamy potato soup. The client voided 480 mL, 300 mL and 500 mL; vomited 300 mL and 175 mL. How many mL of positive fluid balance should be entered?
• Which dosing route is acceptable for the practical nurse to administer fentanyl to a client with cancer who is experiencing chronic pain?
• What should the practical nurse do first if an unusual event occurs involving a visitor or staff member?
• Which process moves water across a semipermeable membrane from high to low water potential?
• Which type of muscle tissue is involuntary and striated and found in the heart?
• Which symptom indicates dehydration?
• Which of the following is a correct right of medication administration?
• If the dose is 125 mg and the concentration is 250 mg/mL, what volume should be drawn?
• A 1 M solution means the solution has how many moles of solute per liter of solution?
• The practical nurse is evaluating a client's outcomes. Which statement indicates improved health?
• A medication is ordered at 0.8 mg/kg. Patient weight is 55 kg. What is the dose?
• A solution has pH 3.0. Is it acidic, basic, or neutral?
• The PN wears gloves and gown when bathing a client, changing the client's bed linens, and placing the dirty bed linens in a biohazard labeled laundry bag kept inside the client's room. Which isolation precaution is the PN implementing?
• A 0.4 mg/kg dose for 60 kg yields how many milligrams?
• A prescription calls for 0.75 g of medication. Express this dose in milligrams.
• Which condition is prevented by adequate intake of fruit, vegetables, and protein in children?
• Which PERRLA component assesses the eye's ability to focus on near objects?
• If energy content of fat is 9 kcal/g, how many kcal are in 12 g of fat?
• The axial skeleton includes which bones? Name two.
• Which three elements of the Health Belief Model predict motivation to change self-care health behaviors?
• Which statement best describes the purpose of federally initiated health acts in nursing practice?
• Which version correctly uses punctuation between two independent clauses with 'however'?
• When preparing to conduct a general mobility assessment, when should the assessment begin?
• The client had an indwelling urinary catheter removed an hour ago and reports fullness and dribbling. What is the first action the practical nurse should take?
• Which method should the practical nurse teach about pulmonary toileting for a pre-operative client?
• A nurse needs to administer 125 mg of a medication. The vial concentration is 250 mg/mL. How many milliliters should be drawn?
• A client with an incurable terminal disease states 'If I adjust my work schedule, eat better and exercise more, I will be able to reverse the disease process and become disease-free'. The practical nurse recognizes that this client is exhibiting which stage of grief as described by Kubler-Ross?
• A PN is assessing a client who has reported 7 episodes of diarrhea in the past 24 hours. Which question would determine a possible causative factor of the diarrhea?
• Which laboratory test would best indicate a developing systemic infection in a child whose mother reports drowsiness, poor appetite, and cough but has normal vital signs?
• In preventing the spread of a communicable disease from an infected client, what is the PN's next practical action after basic hand hygiene and respiratory etiquette?
• If inflating the balloon of an indwelling urinary catheter causes the patient pain, what should the PN do next?
• Which statement demonstrates proper PCA use?
• Which option best describes the pattern of bruising and its likely cause in this clinical scenario?
• Molarity is defined as the number of moles of solute per liter of solution.
• Which macronutrient provides the most energy per gram?
• Solve for x in the equation 3x + 5 = 2x + 17. What is x?
• Which questions are best for the PN to ask when assessing for disuse syndrome in clients with neuromuscular diseases such as muscular dystrophy or multiple sclerosis?
• A client has a swollen, bruised, sprained ankle and states that the current pain level has risen from a 3 to a 5 on a 10 point scale. Which analgesic medication would most likely be prescribed to relieve this pain?
• Which scenario should be reviewed as a sentinel event by the committee?
• Which heart valve prevents backflow from the left ventricle into the left atrium?
• What is the most important step to prevent syncope or a fall when administering beta-blocker eye drops for glaucoma?
• What does tachycardia mean?
• Which factor should be explored when assessing diarrhea causation?
• Which statement most clearly indicates improved health status after treatment?
• Which electrolyte has a direct effect on a client's blood pressure?
• In the term hypoglycemia, which part denotes the sugar component?
• Which vessel carries nutrient-rich blood from the intestines to the liver?
• An infusion of 120 mL is to be delivered over 2 hours with a set that delivers 60 drops per mL. How many drops per minute should be programmed?
• What is the best position for a client with increased intracranial pressure?
• Which statement about pH is true?
• The atomic number of carbon is 6. How many protons are in a neutral carbon atom?
• A client with a removed catheter reports fullness. Which action is the correct first nursing assessment?
• Which factor is most likely to contribute to the development of osteoarthritis?
• Which action is appropriate when preventing spread of a communicable disease after initial precautions?
• After catheter removal, which action is the PN's next appropriate step if urinary retention is suspected?
• If a chart notes 'no complaints of pain' and 'vital signs stable,' what can you infer about the patient’s current status?
• Which action best supports adherence by aligning goals with the client’s preferences?
• Which statement describes a NOT element of the Health Belief Model?
• Which part of the neuron receives impulses from other neurons?
• Increasing temperature typically affects reaction rate how?
• How many milligrams are in 2 grams?
• Convert 3.5 L to milliliters.
• A practical nurse is assessing a client after a cardiac catheterization. The client reports discomfort at the femoral insertion site. According to standing orders, which action should the PN implement?
• To encourage confidence, empowerment, and motivation in a client discouraged about losing weight, which skill should the nurse teach?
• Which term describes inheritance where multiple genes contribute to a trait, producing a continuous range of phenotypes?
• Which rights of medication administration are ensured with "bar coding technology" which requires the practical nurse (PN) to scan the medication, client's identification bracelet and nurse's identification badge prior to administration medication?
• A chart notes "patient febrile and diaphoretic." What might this indicate?
• Based on the Health Belief Model, which strategy should the practical nurse use to encourage a male client to stop smoking?
• Which question would be relevant for a practical nurse to ask a client who suffers with chronic pain? Choose the best single question.
• What is the main purpose of performing range of motion (ROM) and passive range of motion (PROM) exercises?
• In a patient on diuretics, which assessment would best detect orthostatic hypotension?
• What can happen if cold therapy is left in place for more than 30 minutes for the treatment of inflammation?
• To help facilitate the client's adherence to a plan of care, which action should the PN take?
• Which statement best describes a comprehensive approach to improving adherence to a plan of care?
• The primary function of the hepatic portal vein is to deliver nutrient-rich blood from the intestines to which organ?
• Four clients request pain medication within dosing window; after last dose, relief occurred; currently, which patient should receive analgesia first?
• Which medical condition is most likely to affect sexual functioning in adults?
• Convert 3/4 to decimal.
• Which information should be included in a report when a client is admitted to the unit from the emergency department?
• The practical nurse is reviewing sentinel events across all units. Which situation should be reviewed as a sentinel event?
• In polygenic traits, what pattern of inheritance leads to a continuous distribution of phenotypes, such as height?
• During a sensory nerve function assessment, which test should be omitted if pain sensation is normal?
• If a food item provides 250 kcal and 10 g of fat, how many kilocalories come from fat? (Fat has 9 kcal/g)
• The gas exchange surface in the lungs where oxygen enters the blood is the?
• Which statement indicates need for additional teaching about urinary tract infection prevention?
• What is the main purpose of ROM and PROM exercises?
• Which of the following would indicate progress in edema management after fluid restriction?
• When addressing a client's core beliefs, which factor should the practical nurse consider?
• Which irrigation practice is associated with delaying wound healing?
• Which irrigation practice would promote proper wound healing based on standard guidelines?
• An older Asian client with left lower lobe pneumonia has uniform circular bruises on the left lower posterior thorax area. The PN should suspect the use of which therapy?
• The client had an indwelling urinary catheter removed an hour ago and now reports a sense of fullness, discomfort, and dribbling of urine when voiding. What is the first action the PN should take?
• Glycolysis occurs in the cytoplasm and is anaerobic. Which option correctly states this?
• Which statement best reflects a realistic, well-defined client goal?
• Which action is the best way to prevent constipation after surgery?
• Which practice best reduces the risk of urinary tract infections?
• In medical terminology, what does the prefix hypo- most commonly indicate?
• Which daily fluid intake range is appropriate to prevent constipation?
• Which signs or symptoms from a practical nursing assessment suggest a client is experiencing a form of stress?
• What is the primary goal of a fluid restriction of 1 liter per day in edema management?
• Which statement best supports constipation prevention?
• Base on the Health Belief Model (HBM) what are effective strategies for the PN to use to encourage the client to stop smoking?
• If two heterozygous parents (Aa) for a recessive trait have a child, what is the probability the child will be homozygous recessive (aa)?
• Break down the medical term hypoglycemia into its parts.
• What is the difference between a generic drug name and a brand name?
• Which bones are part of the axial skeleton? Name two.
• What is the wound closure called when healing is prolonged because the skin or wound edges cannot be approximated?
• Which practical nursing task provides the best opportunity to complete a skin assessment?
• Which foods should the practical nurse instruct a client diagnosed with end-stage renal disease to avoid?
• When a client’s pulse oximeter alarm shows 80% oxygen saturation while on 2 liters per minute via nasal cannula, what should the practical nurse do next?
• Which sentence is grammatically correct? The nurse and patient are attending rounds. or The nurse and patient is attending rounds.?
• The suffix "-itis" denotes what?
• Which statement best describes an essential quality to include when setting goals with a client?
• What is the appropriate approach to acetaminophen/codeine phosphate administration for a patient after catheterization according to standing orders?
• Which heart valve prevents backflow from the right ventricle into the right atrium?
• The layers of the skin from outermost to innermost are: epidermis, dermis, and ______?
• Which approach is most effective for ensuring culturally competent care when a PN changes assignments every four months?
• Where in the cell does glycolysis occur, and is it oxygen dependent?
• Which recommendation supports a client's adherence to the prescribed plan of care after hospital discharge?
• What is the purpose of a bladder scan after catheter removal?
• If a patient declines breakfast, what can be inferred?
• Which option lists the two main components of a nephron?
• If the nurse-to-patient ratio is 1:5, how many nurses are needed for 15 patients?
• Which of the following would NOT contribute to effective interdisciplinary teamwork?
• Which part of the neuron conducts impulses away from the cell body?
• Which factor is most likely to decrease a client's perception of pain?
• Wheezing is most commonly associated with which pathophysiology?
• If a patient on oxygen therapy has a low SpO2 reading, what is the first action the PN should take?
• Generalized edema in arms, legs, and periorbital regions can be influenced by diet. Which dietary pattern could contribute to edema?
• A client has diarrhea and needs assessment for causative factors. Which question would be most informative?
• A 90 kg patient is prescribed 25 mg/kg/day. Is this within the safe daily limit of 1,500 mg/day?
• The PN is teaching a female client who has had frequent urinary tract infections. Which statement by the client indicates the need for additional teaching?
• Using a set that delivers 60 drops per mL, how many drops are delivered over a 120 mL infusion?
• What is the primary purpose of continuous pulse oximetry monitoring for a patient receiving oxygen therapy?
• Which factor is most important to ensure a client safely self-administers a prescribed medication?
• Before applying a transcutaneous electrical nerve stimulation (TENS) unit, which action is required?
• What is the most appropriate initial action to minimize falls in a client identified as high fall risk?
• If urinary symptoms occur after catheter removal, what is the PN's immediate appropriate action?
• A client with fluid overload is being treated with fluid restriction of 1 liter/day and diuretics. Which actions by the practical nurse would best evaluate the outcomes of this treatment?
• What is one specific action a PN can take to support adherence to the plan of care?
• Which of the following is NOT among the five rights of medication administration?
• A medication is 40 mg per 5 mL. If 20 mL are administered, how many milligrams are given?
• Which characteristic distinguishes viruses from bacteria?
• Which approach is most effective when teaching an adult client how to perform a dressing change?
• Which statement describes how core beliefs influence responses to health information?
• Where should the biohazard-labeled bag for dirty linens be kept during patient care?
• What type of bond involves sharing of electrons between atoms?
• Which option is NOT listed as affecting sexual functioning in men or women?
• Which adult learning approach will best support a client learning to change a surgical wound dressing?
• A client is receiving instruction on a patient-controlled analgesia (PCA) pump. Which statement indicates the patient needs more instruction?
• Which statement about viruses is true?
• Which condition is listed as prevented by adequate intake of fruit, vegetables, and protein?
• Which term describes an abnormally fast heart rate?
• A solution contains 40 mg per 5 mL. How many milligrams are in 12 mL?
• Which lifestyle change is NOT recommended to alleviate cancer-related fatigue?
• Which statement about generic and brand names is accurate?
• The maximum safe daily dose of Drug X for adults is 1,500 mg. A prescription orders 20 mg/kg/day for a 70 kg adult. Is this within the safe daily limit?
• Change-of-shift prioritization: which client should be assessed first?
• In a client with emphysema, high-pitched whistling sounds heard over all lung fields are described as which term?
• A client with a BMI of 35 kg/m2 is classified as which weight status?
• Which action is most effective for fall prevention?
• What chamber of the heart receives oxygenated blood from the lungs?
• In the term hypoglycemia, what does the suffix -emia represent?
• Which action is appropriate to perform before applying a TENS unit?
• A fracture clinic calls to request that the UAP’s other assigned client be sent to the clinic. Which action should the PN take first?
• A client with a BMI of 35 kg/m2 is at greatest risk of developing which condition?
• PERRLA stands for what?
• A dose of 0.5 mg/kg is prescribed for a 60 kg patient. What is the total mg?
• Which practical nursing (PN) intervention is considered the best way to prevent constipation in a postoperative client?
• Which statement best describes the role of federally initiated health acts in practical nursing practice?
• A medication is ordered as 0.4 mg/kg. Patient weight is 72 kg. What is the prescribed dose?
• In clinical calculations, 16 ounces of water is equivalent to how many milliliters?
• A client is 6 feet 6 inches tall with a BMI of 30. How should this BMI be categorized?
• A survivor of a horrific motor vehicle accident has not returned to work and has spent ten months drinking alcohol and watching television. Which type of complicated grieving is being exhibited?
• To deliver culturally competent nursing care as a PN travels to different regions, which action is most appropriate?
• Which client behavior most indicates health literacy?
• If an IV infusion is 1200 mL over 8 hours, what is the mL per hour rate?
• A passage on patient rights states that patients have the right to informed consent and privacy. What is the main idea?
• Which strategy should the practical nurse implement when assisting an older client with self-care deficits?
• Which religion directs followers to avoid food items made with pork?
• The pH of a solution is 9.0. Is it acidic, basic, or neutral?
• Which statement describes a safe delegation stance regarding tasks to UAPs?